Kim, Joo

Kim, Joo is an sole proprietor health care provider with primary practice located at 3366 Park Ave , Wantagh NY 11793-3770. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kim, Joo can be contacted via phone (646) 784-2703.

Contact Information

Primary practice address
3366 Park Ave Wantagh NY 11793-3770
Phone: (646) 784-2703
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22DI02390000 New Jersey
Dental Providers / Dentist 122300000X 054830-1 New York

Profile Details

NPI number 1790920049
LBN Legal business name Kim, Joo
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2008
Last updated Nov 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers